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General NPI Number Information
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NPI Number | 1710607734
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Entity Type | Individual
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Provider Name | MELISSA MEGAN TALABIS PA-C, MLS(ASCP)
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST STE 206
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City | HONOLULU
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State | HI
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Zip | 96813-2411
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Country | US
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Telephone | 808-528-3888
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Fax |
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Provider Business Mailing Address
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Address Line | 419A ATKINSON DR APT 404
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City | HONOLULU
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State | HI
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Zip | 96814-4711
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Country | US
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Telephone | 808-436-2111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | AMD-1320
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License Number State | HI
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